Market competition, Privatisation and choice options as policy instrument - State to market

3 important questions on Market competition, Privatisation and choice options as policy instrument - State to market

Three markets in the Dutch health care system

How market systems can work in welfare regimes.

Example: dutch healt insurance.
3 interrelated markets: 3 parties
  1. Citizens (patiens)
  2. Health insurance providers
  3. Health care providers (hospital)    

Health care purchasing market (zorginkoopmarkt) (3d market)

  • Negotiate about prices, volume (quality) of care to be delivered.
advantage that these actors have compared to citizens (patients); is that they are organizations. Organization can much more easily have the resources to inform itself about the information you need to make the contract.

Conditions for functioning of markets

  • Market = mechanism that allows you to coordinate [via the price mechanism] the preferences of consumers and suppliers of goods and services
    • (i.e. not the same as freedom of choice and/or privatisation)

  • Markets can function efficiently if: 3 groups of conditions to make sure that the market mechanism will deliver, what it promises to deliver:
    1. products and prices are comparable
    2. market participants are perfectly informed
    3. market entry is without barriers

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